Appearances are Deceptive: Staphylococcus Superinfection of Clavicular Tuberculous Osteomyelitis

  • December 2014,
  • cmr.2014.1247;
  • DOI: https://doi.org/10.3121/cmr.2014.1247

Abstract

A 25-year-old male presented with pain, swelling, and drainage from the right clavicular area. He had a past history of abscess at the sternoclavicular joint. The cultures from the drainage site grew methicillin-sensitive Staphylococcus aureus (S. aureus), and he was placed on appropriate antibiotics. As S.aureus infection of the clavicle is often secondary in nature, particularly in adults, a thorough workup was done to identify the underlying cause. Quantiferon gold, done as a part of the work-up, came back positive, while the bone cultures grew S.aureus and Mycobacterium tuberculosis. He was placed on 9 months of combination therapy for tuberculosis osteomyelitis with a good clinical outcome.

  • Received April 29, 2014.
  • Revision received July 1, 2014.
  • Accepted July 24, 2014.
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